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Measuring of Lamella Adhesion after Microkeratome during early Healing Phasis


Authors: P. Stodůlka;  J. Vaculík;  V. Lichnovský
Authors‘ workplace: Oční oddělení, Baťova nemocnice, Zlín, primářka MUDr. L. MachováKatedra kožedělné technologie, Fakulta technologická, Zlín, vedoucí prof. F. Langmaier, CSc. Katedra histologie-embryologie, Teoretické ústavy LF UP, Olomouc, vedoucí prof. MUDr. V. Lichnovsk
Published in: Čes. a slov. Oftal., , 1999, No. 6, p. 367-371
Category:

Overview

The early postoperative adhesion of corneal lamella after LASIK was measured.The interface was washed by hypo, iso and hypertonic saline solution and theinfluence on the lamella adhesion was assessed. Drying the interface and theexcimer laser ablation of epithelial cells along the edge of the lamella were assessedin terms of the influence on the adhesion. The term „phototerapeutic epithelecto-my (PTE)“ was proposed for the excimer laser ablation of corneal epithelial cells.Small insignificant influence of PTE was found. The clinical application of PTEto increase the early adhesion of lamella is not recommended because of theepithelial destruction along the lamella edge. The adhesion was increased signi-ficantly by means of drying the interface which is recommended for the clinicalapplication. High variability od measurements between different eyes was found.

Key words:
LASIK, adhesion, lamella, phototerapeutic epithelectomy, PTE

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Ophthalmology
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